Ingabe ibunzi lakho livuvukele futhi libukeka njengeqhubu elingajwayelekile? Lokhu kungaba yi-Pott's Puffy Tumor!

Ngezinye izikhathi ungase uzizwe sengathi uneqhubu elincane ebunzini lakho elibukeka njengesimila. Ungase futhi ube nekhanda elibuhlungu kanye nomkhuhlane. Kuvamile ukuzizwa wesaba kancane uma ubona into efana nale. Kodwa akudingeki njalo kube umdlavuza omkhulu. Namuhla sizokhuluma ngesimo esibonisa lezi zimpawu, kodwa kufanele uqaphele kancane. Lokho kubizwa ngokuthi i-Pott's Puffy Tumor . Nakuba igama lithi "isimila", lokhu akuyona ngempela umdlavuza. Ngakho ake sibone ukuthi kuyini.

Kuyini lokhu (i-Pott's Puffy Tumor)?

Kalula nje, i-Pott's Puffy Tumor iyisifo esitholakala ethanjeni elingaphambili lebunzi lakho . Lokhu kubangela ubomvu ukuthi buqoqeke esikhaleni esiphakathi kwamehlo akho, kwakha ithumba . Lesi simo sivame ukwenzeka njengenkinga ye -sinusitis . Uma unezinkinga ze-sinus ezivamile, kufanele uqaphele kakhulu ngalokhu. Kungenzeka futhi uma ushaya ikhanda lakho kanzima, okuwukulimala kwekhanda .

Umuntu one-Pott's Puffy Tumor angase abe nokuvuvukala noma iqhubu elibonakalayo ebunzini lakhe. Kodwa njengoba ngishilo ekuqaleni, lokhu "kuyiqhubu" njengoba igama lisho, hhayi umdlavuza. Empeleni kuyiqoqo lobomvu obubangelwa ukutheleleka kwamathambo. Igama lalo livela kudokotela ohlinzayo waseNgilandi wekhulu le-18 uSir Percivall Pott, owaqala ukuchaza lesi simo.

Into ebaluleke kakhulu ukuthi uma lokhu kungelashwa ngokushesha, kungaholela ezinkingeni eziyingozi nezisongela impilo ekhanda lakho . Ngakho-ke, lesi yisimo okungafanele sithathwe kalula futhi sidinga usizo lwezokwelapha ngokushesha.

Sivame kangakanani lesi simo?

Eqinisweni, i-Pott's Puffy Tumor iyisimo esingavamile kakhulu kulezi zinsuku . Isizathu salokhu ukuthi izifo eziningi zingalawulwa ngama -antibiotic ngaphambi kokuba zisakazeke. Nakuba lesi simo singakhula kunoma ubani, sivame ukubonakala ezinganeni ezincane (intsha) .

Lokhu kucatshangwa ukuthi kungenxa yezinguquko emithanjeni ye-diploic , uhlobo lomthambo oluxhumanisa ingaphakathi nengaphandle kwekhanda labo, ngesikhathi sobusha babo. Lokhu kungenxa yokuthi imithambo yegazi emisha ikhula ngokushesha (i-vascularization), okucatshangwa ukuthi ivumela ukutheleleka ukuthi kusabalale ngokushesha kunabantu abadala.

Ziyini izimpawu ze-(Pott's Puffy Tumor)?

Ngaphezu kokuvuvukala ebunzini, i-Pott's Puffy Tumor ingase ibangele nezimpawu ezilandelayo:

• Ukuthola umkhuhlane .
• Ubuhlungu bekhanda ngaso sonke isikhathi.
• Ukuzwela kokukhanya , okusho ubunzima bokubheka izibani ezikhanyayo.
• Impumulo egobhozayo .
• Ubuhlungu uma ucindezela indawo evuvukele.
• Ukuvela kwamehlo (Proptosis), okwenza amehlo abonakale ekhulisiwe.
• Ubuhlungu lapho uthinta indawo ye-sinuses yangaphambili (ngaphezu kwebhuloho lekhala kanye nengaphakathi lamashiya) .

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukufuna iseluleko sezokwelapha.

Yiziphi izimbangela ze-Pott's Puffy Tumor?

Njengoba ngishilo ekuqaleni, imbangela eyinhloko ye-Pott's Puffy Tumor yi-sinusitis . Uma i-sinusitis ivame ukwenzeka, ukutheleleka kungasakazekela emathanjeni ekhanda futhi kubangele lesi simo.

Imbangela yesibili evame kakhulu ukulimala ekhanda, njengokushaywa kanzima ekhanda . Cabanga ukuthi uwile washaya ikhanda lakho ndawana thize, kodwa lesi simo singase senzeke.

Ngaphezu kwalokhu, kunezinye izinkinga eziningana ezingavamile :

• Ukutheleleka kwamazinyo .
• Ukulunywa yizinambuzane .
• Ukuhogela izidakamizwa ezifana ne-cocaine .

Yiziphi izinto ezibangela ingozi?

Isici esiyingozi yinto ekhulisa amathuba akho okuthola isifo. Endabeni ye-Pott's Puffy Tumor, lokhu kungabangelwa izinkinga zempilo ezithinta indlela amasosha omzimba wakho asabela ngayo ezifweni . Nazi izibonelo ezimbalwa:

• I-anemia ye-Aplastic ( isifo lapho ukukhiqizwa kwamaseli egazi kuncipha khona).
• Isifo sikashukela .
• Ukwehluleka kwezinso .

Abantu abanalezi zimo basengozini enkulu yokuthola izinto ezifana ne-Pott's Puffy Tumor ngoba banekhono elincane lokulwa nezifo.

Yiziphi izinkinga zalesi simo?

Uma ingelashwa, i-Pott's Puffy Tumor ingaholela ezinkingeni ezinkulu kakhulu . Yingakho kuyisimo okufanele siqaphe kakhulu. Ezinye zezinkinga ezingaba khona yilezi:

• Ukopha kobuchopho .
• I-Cavernous sinus thrombosis ( ukuqhekeka kwegazi emthanjeni omkhulu wegazi ebuchosheni).
• I-dural venous sinus thrombosis ( ukugoba kwegazi emithanjeni eyinhloko yobuchopho).
• I-Ischemia ( ukufa kwezicubu ngenxa yokuncipha kokunikezwa kwegazi).
• I-Meningitis ( ukutheleleka kwezicubu ezimboze ubuchopho).
• I-Orbital cellulitis (ukutheleleka kwezicubu ezizungeze amehlo).
• I-Sepsis ( ukutheleleka okukhulu okusakazeka emzimbeni wonke).
• I-Thrombosis ( ukuqhekeka kwegazi emithanjeni yegazi).

(Pott's Puffy Tumor) yisimo esingaba yingozi . Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho ubona ukuthi kukhona okungahambi kahle.

I-Pott's Puffy Tumor ihlolwa kanjani?

I-Pott's Puffy Tumor ivame ukuhlonzwa udokotela wezindlebe, impumulo, nomphimbo (ENT) . Uzokwenza izivivinyo eziningana:

• I-CT scan (i-computed tomography scan) ukuhlolwa okungaveza izithombe ezicacile zengaphakathi lekhanda.
• I-endoscopy yamakhala ukuhlolwa lapho kufakwa khona ipayipi elinekhamera encane ekhaleni.
• Ukuhlolwa ngokomzimba . Udokotela uzokuxilonga bese ebuza ngezimpawu zakho.

Lezi zivivinyo zizosiza udokotela ukuthi akhiphe ezinye izimo ezingase zibangele izimpawu ezifanayo futhi aqinisekise ukuxilongwa (i-Pott's Puffy Tumor).

Ezinye izimo ezinezimpawu ezifanayo

Ngezinye izikhathi izimpawu zesifo esisodwa zingafana nezimpawu zezinye izifo eziningana. Uma lokho kwenzeka, odokotela kufanele benze izivivinyo ukuze bathole ukuthi yini ngempela engalungile. Lokhu kubizwa ngokuthi i-differential diagnosis , okusho ukukhetha efanele phakathi kwezifo ezinezimpawu ezifanayo.

Ezinye izimo ezingaba nezimpawu ezifana ne-Pott's Puffy Tumor zifaka:

• I-sinusitis evamile ebukhali noma engamahlalakhona.
• I-Cephalohematoma (iqoqo legazi ebusweni bekhanda, ikakhulukazi ezinganeni ezisanda kuzalwa).
• I-Encephalitis ( ukuvuvukala kobuchopho).
• Ukuvuvukala okubangelwa ukulimala ekhanda.
• I-Non-Hodgkin lymphoma (umdlavuza wesistimu ye-lymphatic).
• Ukutheleleka kwesikhumba noma kwezicubu ezithambile .
• Ezinye izimila ( ezinomdlavuza noma ezingezona umdlavuza).

Iphathwa kanjani i-Pott's Puffy Tumor?

Ukwelashwa kwe-Pott's Puffy Tumor kuvame ukuhilela ukuhlinzwa ukuze kususwe ukutheleleka kanye nenkambo yamasonto amane kuya kwayisithupha yama-antibiotic e-broad-spectrum anikezwa nge-intravenously (IV). Lawa ma-antibiotic anikezwa ukuvimbela ukutheleleka ukuthi kungabuyi. I-"Broad- spectrum" isho ukuthi isebenza ngokumelene nezinhlobo eziningi ezahlukene zamagciwane.

Odokotela abahlinzayo bavame ukuzama ukuhlinzwa okungadingi ukungenelela okukhulu kuqala. Bese, uma kudingeka, bangenza ezinye izinqubo.

Kunezinketho eziningana zokuhlinzwa ezitholakalayo ze-Pott's Puffy Tumor:

• Ukuhlinzwa kwe-sinus okusebenzayo nge-endoscopic : Lokhu kuhilela ukwandisa imigudu ye-sinus ukuze ubomvu nolunye uketshezi kukwazi ukuphuma kahle. Lokhu kuyindlela yokwelapha engangenisi kakhulu futhi ayidingi noma yikuphi ukusikwa. Udokotela ohlinzayo usebenzisa i-endoscope yamakhala ukwenza le nqubo.
• Ukuhlinzwa kwe-craniotomy: Kwezinye izimo, udokotela ohlinzayo kungadingeka asuse ingxenye encane yogebhezi ukuze afinyelele ebuchosheni. Ngemva kokuba ukutheleleka sekususiwe, ingxenye yogebhezi iyaxhunywa kabusha.
• Ukuhlinzwa Okukhulu : Kulokhu kuhlinzwa, kwenziwa imbobo encane ekhanda ukuze kuncishiswe ingcindezi ezungeze ubuchopho.
• Ukuqothulwa kwe-frontal sinus : Kule nqubo, udokotela ohlinzayo ususa ama-front sinus ukuze anciphise ingozi yokutheleleka okungapheli.

Lingakanani izinga lokululama kwe-Pott's Puffy Tumor?

Amathuba akho okululama ancike ngqo ekutheni uqala ngokushesha kangakanani ukwelashwa . Uma uphuza ukwelashwa isikhathi eside, kulapho ingozi yezinkinga eziyingozi iba nkulu khona.

Uma welashwa kusenesikhathi, isibikezelo se-Pott's Puffy Tumor ngokuvamile sihle . Kodwa-ke, kufanele ufune usizo lwezokwelapha ngokushesha nje lapho ubona izimpawu - ikakhulukazi ukuvuvukala ebunzini. Cishe u-12% wezingane ezincane ezine-Pott's Puffy Tumor ziyafa , ngenxa yezinkinga ezifana ne-sepsis, ischemia, i-thrombosis, kanye nokwanda kwengcindezi yangaphakathi kwekhanda. Ukungenelela kusenesikhathi kunganciphisa le ngozi .

Ingabe i-Pott's Puffy Tumor ingavinjelwa?

I-Pott's Puffy Tumor ingase ingavinjelwa ngaso sonke isikhathi, kodwa kunezinto ezithile ongazenza ukuze unciphise ingozi yakho:

• Qaphela izimpawu ze-sinusitis : Uma uvame ukutheleleka nge-sinus, kanye nekhanda elibuhlungu, umkhuhlane, ukuphuma kwamanzi ekhaleni, noma ukuvuvukala ebunzini lakho, funa iseluleko sikadokotela ngokushesha.
• Zivikele ekulunyweni yizinambuzane : Amanye amacala e-Pott's Puffy Tumor abangelwa ukulunywa yizinambuzane, ngakho sebenzisa umuthi wokuxosha izinambuzane noma nini lapho uphuma ngaphandle.
• Bona udokotela wamazinyo njalo : Ezinye izifo zomlomo nazo zingabangela i-Pott's Puffy Tumor. Ukuhlanza nokuhlolwa njalo kwamazinyo kunganciphisa le ngozi.
• Geza izandla zakho njalo : Lokhu kunganciphisa ingozi yokutheleleka ngokujwayelekile.
• Gqoka izingubo zokuzivikela uma udlala imidlalo ethile yokuthintana : Ukugqoka isigqoko esifanela kahle kunganciphisa ingozi yokulimala (i-Pott's Puffy Tumor).

Kufanele ngimbone nini udokotela?

Uma unesifo se-sinus esingapheli noma esihlala sibuya, tshela udokotela wakho. Futhi, uma ukhuhla ikhala elijiyile, ikhanda elibuhlungu, noma - okubaluleke kakhulu - iqhubu noma iqhubu elingavamile ebunzini lakho , funa usizo lwezokwelapha ngokushesha, noma uye egumbini lezimo eziphuthumayo eliseduze.

Kuvamile ukuzizwa ukhathazekile uma uvuka ekuseni bese ubona iqhubu ebunzini lakho (noma ebunzini lengane yakho). Uma uzizwa sengathi kukhona okungahambi kahle, lalela isisu sakho. Funa iseluleko sezokwelapha ngokushesha .Ukuhlehlisa ukwelashwa kungaholela ezinkingeni ezisongela ukuphila. Kodwa-ke, ama-antibiotic kanye nokuhlinzwa kungasusa ukutheleleka futhi kukunikeze ithuba elihle kakhulu lokululama.

Umyalezo Wokugcina Wokuya Nasekhaya

Ngakho-ke, i-Pott's Puffy Tumor ingase ibe negama elithusayo, kodwa manje usuyazi ukuthi akuyona umdlavuza, iyisifo. Into ebaluleke kakhulu ukuthi, uma unebunzi elivuvukile, umkhuhlane, ikhanda elibuhlungu, ikakhulukazi uma lihambisana nezinkinga zama-sinus, ungakushayi indiva . Cabanga uma ingane yomngane wakho yayinezinkinga zama-sinus ngaso sonke isikhathi, futhi ngolunye usuku ibunzi layo lalivuvukile futhi yayinomkhuhlane nekhanda elibuhlungu, ubungeke yini uyitshele ukuthi ibone udokotela ngokushesha? Yilokho kanye okwenzekayo.

Uma sitholakale futhi selashwa kusenesikhathi, lesi simo singalapheka ngokuphelele. Ngakho-ke, ungalokothi uzishaye indiva izimpawu. Naka umzimba wakho futhi ufune iseluleko sezokwelapha uma ubona noma yiziphi izinguquko. Leyo yindlela engcono kakhulu yokuhlala uphilile!

Isimila sikaPott 's Puffy, Ukuvuvukala kwebunzi, iSinusitis, Ukutheleleka Kwekhanda, Ukutheleleka Kobuchopho, Ukutheleleka Kwesikhumba Sekhanda, Ukuhlinzwa